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Contact Information

RONALD D CROCK, MD
1320 MERCY DR NW
CANTON, OH44708-2614
 Phone: 330-489-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RONALD D CROCK · (Male)

NPI Number 1457332785
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 04/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35066830C
  • OH Medicaid 0142081
  • Other 2157320 GROUP MEDICAID
  • Other 1902827876 GROUP NPI - MPCC
  • OH Other 2157366 GROUP MEDICAID - MPCC
  • OH Other ME9303389 GROUP MEDICARE - MPCC
  • OH Other 1376559799 GROUP NPI
Hospital affiliation(s)
  • AULTMAN HOSPITAL - (Acute Care)
    2600 SIXTH STREET SW
    CANTON, OH 44710
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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